Individual
AUDREY MAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
(618) 257-5900
Mailing address
6412 ALAMO AVE APT 2W, CLAYTON, MO 63105-3148
(630) 525-0474
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1780179901
IL
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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